Provider Demographics
NPI:1508255738
Name:FRAMINGHAM THERAPEUTIC ASSOCIATES
Entity Type:Organization
Organization Name:FRAMINGHAM THERAPEUTIC ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:E
Authorized Official - Last Name:HART
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:413-841-1678
Mailing Address - Street 1:971 CONCORD ST
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701-4689
Mailing Address - Country:US
Mailing Address - Phone:413-841-1678
Mailing Address - Fax:
Practice Address - Street 1:971 CONCORD ST
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701-4689
Practice Address - Country:US
Practice Address - Phone:413-841-1678
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-12
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8247101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty